Hybrid Workers' Comp Claims Examiner — Impact & Growth

Sedgwick Claims Management Services Ltd; Roseville (CA); Hybrid; USD 80,000 - 100,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) matching

Paid time off

Disability insurance

Life insurance

Employee assistance

Job summary

Sedgwick is seeking a Workers’ Compensation Claims Examiner for Long Beach, CA or Roseville, CA. You will analyze complex workers’ compensation claims to determine benefits due, while ensuring adjudication aligns with client service requirements and industry best practices.

Join a global leader with a caring culture, offering flexible work arrangements, comprehensive benefits, and ongoing professional development. California experience and licensing knowledge are essential for this role.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience.
• High School Diploma or GED required; Bachelor's degree preferred.
• Professional certification as applicable to line of business preferred.
• California workers' compensation claims experience required; SIP Preferred.

Responsibilities

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Skills

Claims management

Negotiation

Analytical thinking

Communication skills

Education

High school diploma or GED

Bachelor's degree preferred

Professional certification

Job description

Sedgwick is seeking a Workers’ Compensation Claims Examiner for Long Beach, CA or Roseville, CA. You will analyze complex workers’ compensation claims to determine benefits due, while ensuring adjudication aligns with client service requirements and industry best practices.

Join a global leader with a caring culture, offering flexible work arrangements, comprehensive benefits, and ongoing professional development. California experience and licensing knowledge are essential for this role.